[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5924 Introduced in House (IH)]

<DOC>






118th CONGRESS
  1st Session
                                H. R. 5924

  To amend title XVIII of the Social Security Act with respect to the 
    timing of changes to the annual out-of-pocket threshold for the 
 Medicare prescription drug benefit, and to amend title XI of such Act 
   with respect to the timing of the Medicare drug price negotiation 
                                program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 11, 2023

              Mr. Magaziner introduced the following bill

                            October 25, 2023

 Referred to the Committee on Energy and Commerce, and in addition to 
   the Committee on Ways and Means, for a period to be subsequently 
   determined by the Speaker, in each case for consideration of such 
 provisions as fall within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act with respect to the 
    timing of changes to the annual out-of-pocket threshold for the 
 Medicare prescription drug benefit, and to amend title XI of such Act 
   with respect to the timing of the Medicare drug price negotiation 
                                program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Lower Drug Costs Today Act''.

SEC. 2. TIMING OF CHANGES TO ANNUAL OUT-OF-POCKET THRESHOLD FOR 
              MEDICARE PRESCRIPTION DRUG BENEFIT.

    (a) In General.--Section 1860D-2(b)(4)(B)(i) of the Social Security 
Act (42 U.S.C. 1395w-102(b)(4)(B)(i)) is amended--
            (1) in subclause (VI), by striking ``2024'' and inserting 
        ``2023''; and
            (2) in subclause (VII), by striking ``2025'' and inserting 
        ``2024''.
    (b) Conforming Amendments.--
            (1) Section 1860D-2 of the Social Security Act (42 U.S.C. 
        1395w-102) is amended--
                    (A) in subsection (a)(2)(A)(i)(I), by striking 
                ``2025'' and inserting ``2024'';
                    (B) in subsection (b)--
                            (i) in paragraph (2)--
                                    (I) in subparagraph (A), by 
                                striking ``2025'' each place it appears 
                                and inserting ``2024'';
                                    (II) in subparagraph (C)--
                                            (aa) in clause (i), by 
                                        striking ``2025'' and inserting 
                                        ``2024''; and
                                            (bb) in clause (ii)(III), 
                                        by striking ``2024'' and 
                                        inserting ``2023'';
                                    (III) in subparagraph (D)--
                                            (aa) in clause (i)--

                                                    (AA) in the matter 
                                                preceding subclause 
                                                (I), by striking 
                                                ``2025'' and inserting 
                                                ``2024''; and

                                                    (BB) in subclause 
                                                (I)(bb), by striking 
                                                ``2024'' and inserting 
                                                ``2023''; and

                                            (bb) in clause (ii)(V), by 
                                        striking ``2024'' and inserting 
                                        ``2023''; and
                                    (IV) in subparagraph (E)(i), by 
                                striking ``2025'' and inserting 
                                ``2024'';
                            (ii) in paragraph (3)(A)--
                                    (I) in the matter preceding clause 
                                (i), by striking ``2025'' and inserting 
                                ``2024''; and
                                    (II) in clause (ii), by striking 
                                ``2024'' and inserting ``2023''; and
                            (iii) in paragraph (4)--
                                    (I) in subparagraph (C)--
                                            (aa) in clause (i), by 
                                        striking ``2025'' and inserting 
                                        ``2024''; and
                                            (bb) in clause (iii)(II), 
                                        by striking ``2025'' and 
                                        inserting ``2024''; and
                                    (II) in subparagraph (E), by 
                                striking ``2024'' and inserting 
                                ``2023'';
                    (C) in subsection (c)(1)(C)--
                            (i) in the matter preceding clause (i), by 
                        striking ``2025'' each place it appears and 
                        inserting ``2024''; and
                            (ii) in clause (i), by striking ``2025'' 
                        each place it appears and inserting ``2024''; 
                        and
                    (D) in subsection (d)(1)(A), by striking ``2025'' 
                and inserting ``2024''.
            (2) Section 1860D-4(a)(4)(B)(i) of the Social Security Act 
        (42 U.S.C. 1395w-104(a)(4)(B)(i)) is amended by striking 
        ``2025'' and inserting ``2024''.
            (3) Section 1860D-14(a)(1)(C) of the Social Security Act 
        (42 U.S.C. 1395w-114(a)(1)(C)) is amended by striking ``2025'' 
        and inserting ``2024''.
            (4) Section 1860D-15(b) of the Social Security Act (42 
        U.S.C. 1395w-115(b)) is amended--
                    (A) in paragraph (1)--
                            (i) in subparagraph (A), by striking 
                        ``2025'' and inserting ``2024''; and
                            (ii) in subparagraph (B), in the matter 
                        preceding clause (i), by striking ``2025'' and 
                        inserting ``2024''; and
                    (B) in paragraph (3), by striking ``2025'' and 
                inserting ``2024''.
            (5) Section 1860D-22(a)(2)(A) of the Social Security Act 
        (42 U.S.C. 1395w-132(a)(2)(A)) is amended--
                    (A) in clause (i), by striking ``2025'' and 
                inserting ``2024''; and
                    (B) in clause (ii), by striking ``2025'' and 
                inserting ``2024''.
            (6) Section 1860D-41(a)(6) of the Social Security Act (42 
        U.S.C. 1395w-151(a)(6)) is amended by striking ``2025'' and 
        inserting ``2024''.

SEC. 3. TIMING OF MEDICARE DRUG PRICE NEGOTIATION PROGRAM.

    (a) In General.--Part E of title XI of the Social Security Act (42 
U.S.C. 1320f et seq.) is amended--
            (1) in section 1191--
                    (A) in subsection (b)(1), by striking ``2026'' and 
                inserting ``2024''; and
                    (B) in subsection (d)--
                            (i) in the subsection heading, by striking 
                        ``2026'' and inserting ``2024''; and
                            (ii) in the matter preceding paragraph (1), 
                        by striking ``2026'' and inserting ``2024'';
            (2) in section 1192--
                    (A) in subsection (a)--
                            (i) in paragraph (1), by striking ``2026'' 
                        and inserting ``2024'';
                            (ii) in paragraph (2), by striking ``2027'' 
                        and inserting ``2025'';
                            (iii) in paragraph (3), by striking 
                        ``2028'' and inserting ``2026''; and
                            (iv) in paragraph (4), by striking ``2029'' 
                        and inserting ``2027'';
                    (B) in subsection (b)(2)--
                            (i) in the paragraph heading, by striking 
                        ``2026 and 2027'' and inserting ``2024 and 
                        2025'';
                            (ii) by striking ``2026'' and inserting 
                        ``2024''; and
                            (iii) by striking ``2027'' and inserting 
                        ``2025'';
                    (C) in subsection (d)--
                            (i) in paragraph (1), by striking ``2026 or 
                        2027'' and inserting ``2024 or 2025'';
                            (ii) in paragraph (2)(A), by striking 
                        ``2026, 2027, and 2028'' and inserting ``2024, 
                        2025, and 2026''; and
                            (iii) in paragraph (3)(A)(ii), by striking 
                        ``2026, 2027, and 2028'' and inserting ``2024, 
                        2025, and 2026''; and
                    (D) in subsection (e)(3)(B)--
                            (i) in clause (i), by striking ``2026'' and 
                        inserting ``2024''; and
                            (ii) in clause (ii), by striking ``2027'' 
                        and inserting ``2025''; and
            (3) in section 1194--
                    (A) in subsection (c)(1)(C)--
                            (i) in clause (i)--
                                    (I) in the clause heading, by 
                                striking ``2026'' and inserting 
                                ``2024''; and
                                    (II) by striking ``2026'' and 
                                inserting ``2024''; and
                            (ii) in clause (ii)--
                                    (I) in the clause heading, by 
                                striking ``2027'' and inserting 
                                ``2025''; and
                                    (II) in the matter preceding 
                                subclause (I), by striking ``2027'' and 
                                inserting ``2025'';
                    (B) in subsection (d), by striking ``2029 or 2030'' 
                and inserting ``2027 or 2028''; and
                    (C) in subsection (f)(3), by striking ``2028'' and 
                inserting ``2026''.
    (b) Conforming Amendment to Part D.--Section 1860D-4(b)(3)(I)(i) of 
the Social Security Act (42 U.S.C. 1395w-104(b)(3)(I)(i)) is amended by 
striking ``2026'' and inserting ``2024''.
                                 <all>